This report explores the current state of the U.S. child care industry and reviews solutions that other countries in the Organization for Economic Cooperation and Development (OECD) have employed to address their own child care challenges. It reviews four policy options that could be leveraged to address the child care crisis in the U.S. at the federal level — universal prekindergarten (pre-K), child care provider subsidies, expanded tax credits, and subsidies for employers that offer child care as a worker benefit — and examines the benefits and downsides of each if used individually or in tandem. (author abstract)